ethical concerns paper
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health
conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do
you do when these situations occur?
In this Assignment, you will explore evidence-based practice guidelines and ethical
considerations for specific scenarios.
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical
examination before starting kindergarten. His parents are opposed to him receiving any
vaccines.
Scenario 2:
A 49-year-old woman with advanced stage cancer has been admitted to the emergency
room with cardiac arrest. Her husband and one of her children accompanied the
ambulance.
Scenario 3:
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with
an extreme flare-up of his condition. He explains that he has not been able to afford his
medications for the last few months and is concerned about the costs he may incur for
treatment.
Scenario 4:
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s
health clinic and has requested that the girls receive a pelvic examination and be put on
birth control. The girls have consented to the exam but seem unsettled.
Scenario 5:
A 17-year-old boy has come in for a check-up after a head injury during a football game.
He has indicated that he would like to be able to play in the next game, which is in 3
days.
Scenario 6:
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV
vaccine. Her family is very religious and believes that the vaccine would encourage
premarital sexual activity.
Scenario 7:
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is
experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient
unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.
To prepare:
? Select one scenarios, and reflect on the material presented throughout this course.
? What necessary information would need to be obtained about the patient through health
assessments and diagnostic tests?
? Consider how you would respond as an advanced practice nurse. Review evidence-
based practice guidelines and ethical considerations applicable to the scenarios you
selected.
To complete:
Write a detailed one-page narrative (not a formal paper) explaining the health
assessment information required for a diagnosis of your selected patient (include the
scenario number). Explain how you would respond to the scenario as an advanced
practice nurse using evidence-based practice guidelines and applying ethical
considerations. Justify your response using at least 3 different references from current
evidence based literature.